Individual
MR. JESSE RICHARDS RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
106 MAQUOIT DR, FREEPORT, ME 04032-6320
(207) 671-5598
Mailing address
PO BOX 597, FREEPORT, ME 04032-0597
(207) 671-5598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC 5397
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285810099
—
ME
Enumeration date
11/13/2007
Last updated
09/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us